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行肝脏组织活检术患者身心状态的影响因素及护理体会
作者:段钢  何清  赖长祥  董京科  丘利宜  赵苏园  袁娇  彭雪玲 
单位:深圳市第三人民医院 肝病二科 深圳518112 
关键词:肝脏组织活检 身心状态 临床护理 
分类号:
出版年,卷(期):页码:2016,8(3):74-78
摘要:

摘要:目的 探讨影响行肝脏组织活检术患者身心状态的因素,以便为临床护理提供指导。方法 选
取2000年1月至2011年1月于广东医学院附属深圳市第三人民医院行肝脏组织活检术的510例患者为
研究对象,比较不同性别、年龄及有无家属陪同的患者肝区疼痛、血压变化、焦虑情况及不良反应
的差异。其中焦虑程度评定采用Zung焦虑自评量表(SAS)测量,术后肝区疼痛程度评定采用马盖
(McGill)问答法分级。结果 ①与男性患者相比,女性患者在肝脏组织活检术中血压变化、肝区疼痛
感及焦虑程度等方面更显著,差异有统计学意义(P均< 0.05),不良反应差异无统计学意义(χ 2 =
1.213,P = 0.271)。②年龄≥ 40岁的患者血压变化、肝区疼痛感、焦虑程度及不良反应发生率均更显
著,与年龄< 40岁的患者相比,差异有统计学意义(P均< 0.05)。③无家属陪同的患者血压变化、
肝区疼痛感及焦虑程度比有家属陪同的患者均更明显,差异有统计学意义(P均< 0.05),不良反应
差异无统计学意义(χ 2 = 0.332,P = 0.564)。结论 行肝脏组织活检术时,女性、年龄≥ 40岁且无家
属陪同的患者在肝区疼痛、血压变化、焦虑情况及不良反应发生上更明显。对于这部分患者,临床中
尤其需要做好术前的宣教、心理干预、情绪疏导和全程护理等工作,密切监测患者的病情变化。

Abstract: Objective To investigate the influencing factors and nursing experiences of patients who
underwent liver biopsy. Methods Total of 510 patients who underwent liver biopsy from January 2000 to
January 2011 in Guangdong Medical College affiliated to Shenzhen Third People’s Hospital were selected.
Effects of gender, age and whether accompanied by family members on pain, blood pressure, anxiety and
adverse reactions of the patients were compared. The anxiety level was assessed by Zung Self-rating Anxiety
Scale (SAS) measurement, and the degree of pain in the liver area was assessed by the McGill question and
answer classification. Results ①The changes of blood pressure, the degree of pain and the anxiety were more
obvious of female patients than those in male patients, the differences were statistically significant (P < 0.05),
and there was no significant difference in adverse reactions (χ 2 = 1.213,P = 0.271). ②Change of blood
pressure, liver area pain sense, anxiety level and adverse reactions occurred in patients with ages ≥ 40 years
old were more obvious than those of patients with ages < 40 years old, and the differences were statistically
significant (P < 0.05). ③Patients with no family accompanied in the changes of blood pressure, liver
area pain and anxiety level were more obvious than those in patients with family members accompanied,
the differences were statistically significant (P < 0.05), and there was no significant difference in adverse
reactions (χ 2 = 0.332,P = 0.564). Conclusions For women patients, who were older than 40 years old and

without family accompanying, the pain in the liver area, blood pressure changes, anxiety, adverse effects were
more obvious in liver biopsy. For these patients, propaganda, education, psychological intervention, emotional
counseling and full care should be done by the nurse before the operation, and the condition changes of the
patient should be monitored closely.

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